ANDREW JAMES MISSELT MD NPI 1770500555

NPI Information

  • NPI: 1770500555
  • Provider Name: ANDREW JAMES MISSELT, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3850 PARK NICOLLET BLVD
    ST LOUIS PARK, MN
    ZIP 55416
  • Phone: (952) 993-3700

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NPI Details

Andrew James Misselt, MD is a diagnostic radiology radiology in St Louis Park, MN with 24 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Andrew James Misselt, MD NPI is 1770500555. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2002

The provider's business location address is:

3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN
ZIP 55416-527
Phone: (952) 993-3700

The NPI 1770500555 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Screening mammography (HCPCS:77067)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older (HCPCS:36573)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 7/16/2006 and was last updated on 6/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology48706MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1814T2MIOTHERMINNESOTABLUE CROSS BLUE SHIELD
2133246OTHERUCARE
3300003980OTHERMINNESOTAMEDICARE
4HP65836OTHERMINNESOTAHEALTHPARTNERS
5P00332886OTHERMINNESOTARAILROAD MEDICARE
61770500555OTHERMINNESOTAAMERICA'S PPO
7300003981OTHERMINNESOTAMEDICARE
8872600100MEDICAIDMINNESOTA
91047281OTHERMINNESOTAPREFERRED ONE
101604206OTHERMINNESOTAMEDICA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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